How Hearing Works

Hearing loss is not just an age-related disability; it is affecting people at younger and younger ages. A 2016 study by McMaster University showed that 28% of participants (between 11 – 17 years old) had the early warning signs of hearing loss, in the form of persistent tinnitus (Source).

The Anatomy of the Ear

The outer ear consists of the pinna and the auditory canal. The auditory canal amplifies frequencies in the range 3 to 12 kHz.

The middle ear includes:

the eardrum (tympanic membrane)

ossicles – the three smallest bones in the human body

two muscle tendons

two nerve bundles: the vestibular (for balance)

the auditory (for hearing)

The inner ear is filled with fluid and includes:

The cochlea (for hearing), which each have 15,000 hair cells

The vestibular apparatus

The auditory cortex is the area of the brain that interprets sounds.

The eustachian tubes regulate pressure in the middle ear.

How We Hear

The ear (known as the outer pinna) directs sound waves down the auditory canal to the eardrum (known as the tympanic membrane), causing it to vibrate very slightly. The ossicles include: the hammer (malleus), anvil (incus) and stirrup (stapes). They work together as a lever system to amplify the vibrations, which are then passed along to a smaller vibrating membrane on the surface of the cochlea of the inner ear (called the elliptical window).

The mechanical energy of the sound, now translated to a physical vibration, creates compression waves within the fluid-filled spiral tube of the cochlea, which in turn move the tiny hair cells lining the inside of the cochlea. As the hairs move, nerve cells at their base change this motion into electrical signals that are passed along the auditory nerve to the central auditory processing centres of the brain, where the signals are interpreted as recognizable sound.

To learn more about how hearing works, watch this video produced by Rockefeller University.